Provider Demographics
NPI:1194056739
Name:MINTON, DANIEL C (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:MINTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2444 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-453-4672
Mailing Address - Fax:310-453-1782
Practice Address - Street 1:2444 WILSHIRE BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403
Practice Address - Country:US
Practice Address - Phone:310-453-4672
Practice Address - Fax:310-453-1782
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG-182672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry